平均血小板体积 (MPV) 作为急性肾损伤患者预后指标的作用

IF 0.7 Q4 PHARMACOLOGY & PHARMACY Journal of pharmacy & bioallied sciences Pub Date : 2024-07-01 Epub Date: 2024-07-31 DOI:10.4103/jpbs.jpbs_145_24
Gurvinder Singh, Satpal Aloona, Maneesh Bains, Rajneesh Bains
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引用次数: 0

摘要

本研究旨在探讨平均血小板体积(MPV)对 50 例 AKI 患者预后的意义。根据 KDIGO 指南采集了血样,并分析了包括 MPV 在内的全血细胞计数。观察发现,透析或不透析康复的患者与死亡患者的平均血小板体积存在显著差异。未透析康复患者、透析康复患者和过期患者的平均血小板计数在统计学上存在显著差异。MPV 评分的曲线下面积(AUC)高达 0.842。这表明在多达 84% 的配对(死亡-存活)中,模型正确估计了存活概率高于死亡概率。MPV 的最佳临界点为评分值
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Role of Mean Platelet Volume (MPV) as a Prognostic Marker in Patients with Acute Kidney Injury.

This study aimed to investigate the prognostic significance of mean platelet volume (MPV) in 50 AKI patients. Blood samples were collected according to KDIGO guidelines, and complete blood counts, including MPV, were analyzed. Significant differences in MPV were observed among patients who recovered with or without dialysis and those who expired. A statistically significant difference was present in between the mean platelet count of patients recovered without dialysis, recovered with dialysis, and the expired patients. The Area Under Curve (AUC) for MPV scores was as high as 0.842. Indicating that in up to 84% of the pairs (death-survival) the models correctly estimated that the probability of survival was higher than that of death. MPV had an optimum cutoff point of score value <9.60 with a sensitivity of 80% and specificity of 91.11%. These findings suggested that MPV could serve as a cost-effective and superior tool to creatinine in early AKI detection.

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